Anxiety and pos2 - palpitations dizziness and epigastric...

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Anxiety and post-traumatic stress disorder Anxiety is a psychological and physiological state characterized by somatic, emotional, cognitive, and behavioural components. The root meaning of the word anxiety is 'to vex or trouble'; in either the absence or presence of psychological stress, anxiety can create feelings of fear, worry, uneasiness and dread. Anxiety is considered to be a normal reaction to stress. It may help a person to deal with a difficult situation by prompting one to cope with it. When anxiety becomes excessive, it may fall under the classification of an anxiety disorder. The intensity and reasoning behind anxiety determines whether it is considered a normal or abnormal reaction. Generalised Anxiety Disorder (GAD) GAD is an anxiety disorder that is generalised and persistent but not restricted to, or even strongly predominating in, any particular environmental circumstance. The dominant symptoms are variable but include complaints of persistent nervousness, trembling, muscular tensions, sweating, light-headedness,
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Unformatted text preview: palpitations, dizziness and epigastric discomfort. ICD-10 defines GAD as: • A period of 6 months with predominant tension, worry and feelings of apprehension about everyday events and problems • At least one of the symptoms listed below 1. Palpitations, Sweating, Trembling or a Dry Mouth • At least three of the following symptoms 1. Difficulty breathing 2. Choking sensation 3. Chest pain 4. Nausea 5. Dizziness 6. Symptoms of derealisation/depersonalisation 7. Fear of losing control 8. Fear of dying 9. Hot flushes or cold chills 10. Numbness or tingling sensations Agoraphobia Agoraphobia is defined as a fear of the market place. It is defined by ICD-10 as: • Marked fear of a least two of the following 1. Crowd 2. Public places 3. Travelling alone 4. Travelling away from home • At least two symptoms of anxiety listed above under GAD • Patient recognises the level of emotional distress is unreasonable and out of proportion...
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